Organization
RAIN BEHAVIORAL HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISSETH RUSSA MS, RMHI, CCMS (CHIEF EXECUTIVE OFFICER)
(862) 754-7373
Entity
Organization
Contact information
Practice address
8228 LOST LAKE DR, ORLANDO, FL 32817-1532
(862) 754-7373
Mailing address
8228 LOST LAKE DR, ORLANDO, FL 32817-1532
(862) 754-7373
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/07/2017
Last updated
07/21/2022
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